Effectiveness of deep dry needling combined with stretching for the treatment of pain in patients with myofascial trigger points: A systematic review and meta-analysis

Objective: The combination of dry needling and stretching has been proposed for the treatment of myofascial trigger points (MTPs), but it is not currently known whether the combination of both interventions would be of greater interest than the application of stretching alone. Thus, this systematic...

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Autores: Guzmán Pavón, María José, Torres-Costoso, Ana Isabel, Cavero-Redondo, Iván, Reina Gutiérrez, Sara, Lorenzo-Garcia, Patricia, Alvarez-Bueno, Cecilia
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Universidad de Castilla-La Mancha
Repositorio:RUIdeRA. Repositorio Institucional de la UCLM
OAI Identifier:oai:ruidera.uclm.es:10578/43229
Acceso en línea:https://doi.org/10.1016/j.jbmt.2024.07.003
https://hdl.handle.net/10578/43229
Access Level:acceso abierto
Palabra clave:Systematic review
Myofascial trigger points
Dry needling
Stretching
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spelling Effectiveness of deep dry needling combined with stretching for the treatment of pain in patients with myofascial trigger points: A systematic review and meta-analysisGuzmán Pavón, María JoséTorres-Costoso, Ana IsabelCavero-Redondo, IvánReina Gutiérrez, SaraLorenzo-Garcia, PatriciaAlvarez-Bueno, CeciliaSystematic reviewMyofascial trigger pointsDry needlingStretchingObjective: The combination of dry needling and stretching has been proposed for the treatment of myofascial trigger points (MTPs), but it is not currently known whether the combination of both interventions would be of greater interest than the application of stretching alone. Thus, this systematic review aimed to compare the effectiveness of deep dry needling with stretching versus stretching alone on pain among patients with MTPs. Methods: The PubMed, Web of Science, Cochrane Library, and Scopus databases were searched to identify studies analysing the effect of deep dry needling in combination with stretching versus stretching alone for the treatment of pain. The Cochrane risk of bias 2 tool (RoB2) was used to assess the risk of bias, and the DerSimonian‒Laird method was applied to estimate the pooled standard effect sizes (ESs) and their 95% confidence intervals (95% CIs). Results: Five randomized controlled trials were included in this systematic review, and their pooled ES for pain was −1.73 (95% CI: −3.06; −0.40). The RoB2 tool revealed that four studies had an unclear risk of bias, and one study had a high risk of bias. Conclusions: Adding deep dry needling to stretching for the treatment of MTP may be an effective approach for the treatment of pain in patients with MTPs. Further research is needed to clarify the ideal number of local twitch responses to perform during deep dry needling.Elsevier202520252024info:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.1016/j.jbmt.2024.07.003https://hdl.handle.net/10578/43229reponame:RUIdeRA. Repositorio Institucional de la UCLMinstname:Universidad de Castilla-La ManchaInglésinfo:eu-repo/semantics/openAccessAttribution-NonCommercial-NoDerivs 3.0 Spainhttp://creativecommons.org/licenses/by-nc-nd/3.0/es/oai:ruidera.uclm.es:10578/432292026-05-27T07:36:41Z
dc.title.none.fl_str_mv Effectiveness of deep dry needling combined with stretching for the treatment of pain in patients with myofascial trigger points: A systematic review and meta-analysis
title Effectiveness of deep dry needling combined with stretching for the treatment of pain in patients with myofascial trigger points: A systematic review and meta-analysis
spellingShingle Effectiveness of deep dry needling combined with stretching for the treatment of pain in patients with myofascial trigger points: A systematic review and meta-analysis
Guzmán Pavón, María José
Systematic review
Myofascial trigger points
Dry needling
Stretching
title_short Effectiveness of deep dry needling combined with stretching for the treatment of pain in patients with myofascial trigger points: A systematic review and meta-analysis
title_full Effectiveness of deep dry needling combined with stretching for the treatment of pain in patients with myofascial trigger points: A systematic review and meta-analysis
title_fullStr Effectiveness of deep dry needling combined with stretching for the treatment of pain in patients with myofascial trigger points: A systematic review and meta-analysis
title_full_unstemmed Effectiveness of deep dry needling combined with stretching for the treatment of pain in patients with myofascial trigger points: A systematic review and meta-analysis
title_sort Effectiveness of deep dry needling combined with stretching for the treatment of pain in patients with myofascial trigger points: A systematic review and meta-analysis
dc.creator.none.fl_str_mv Guzmán Pavón, María José
Torres-Costoso, Ana Isabel
Cavero-Redondo, Iván
Reina Gutiérrez, Sara
Lorenzo-Garcia, Patricia
Alvarez-Bueno, Cecilia
author Guzmán Pavón, María José
author_facet Guzmán Pavón, María José
Torres-Costoso, Ana Isabel
Cavero-Redondo, Iván
Reina Gutiérrez, Sara
Lorenzo-Garcia, Patricia
Alvarez-Bueno, Cecilia
author_role author
author2 Torres-Costoso, Ana Isabel
Cavero-Redondo, Iván
Reina Gutiérrez, Sara
Lorenzo-Garcia, Patricia
Alvarez-Bueno, Cecilia
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Systematic review
Myofascial trigger points
Dry needling
Stretching
topic Systematic review
Myofascial trigger points
Dry needling
Stretching
description Objective: The combination of dry needling and stretching has been proposed for the treatment of myofascial trigger points (MTPs), but it is not currently known whether the combination of both interventions would be of greater interest than the application of stretching alone. Thus, this systematic review aimed to compare the effectiveness of deep dry needling with stretching versus stretching alone on pain among patients with MTPs. Methods: The PubMed, Web of Science, Cochrane Library, and Scopus databases were searched to identify studies analysing the effect of deep dry needling in combination with stretching versus stretching alone for the treatment of pain. The Cochrane risk of bias 2 tool (RoB2) was used to assess the risk of bias, and the DerSimonian‒Laird method was applied to estimate the pooled standard effect sizes (ESs) and their 95% confidence intervals (95% CIs). Results: Five randomized controlled trials were included in this systematic review, and their pooled ES for pain was −1.73 (95% CI: −3.06; −0.40). The RoB2 tool revealed that four studies had an unclear risk of bias, and one study had a high risk of bias. Conclusions: Adding deep dry needling to stretching for the treatment of MTP may be an effective approach for the treatment of pain in patients with MTPs. Further research is needed to clarify the ideal number of local twitch responses to perform during deep dry needling.
publishDate 2024
dc.date.none.fl_str_mv 2024
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://doi.org/10.1016/j.jbmt.2024.07.003
https://hdl.handle.net/10578/43229
url https://doi.org/10.1016/j.jbmt.2024.07.003
https://hdl.handle.net/10578/43229
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
Attribution-NonCommercial-NoDerivs 3.0 Spain
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
eu_rights_str_mv openAccess
rights_invalid_str_mv Attribution-NonCommercial-NoDerivs 3.0 Spain
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:RUIdeRA. Repositorio Institucional de la UCLM
instname:Universidad de Castilla-La Mancha
instname_str Universidad de Castilla-La Mancha
reponame_str RUIdeRA. Repositorio Institucional de la UCLM
collection RUIdeRA. Repositorio Institucional de la UCLM
repository.name.fl_str_mv
repository.mail.fl_str_mv
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